Otoniel Jimenez, AFRNP

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

9489531 Issued in FL

Practice address

2148 Hacienda Ter
Weston, FL 33327-2237

Phone

(754) 244-2954

Fax

(954) 306-0455

NPI assigned

Mar 31, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behnam Myers DO PAGroup PAC ID 9830368190, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behnam Myers DO PA

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1174832455
  Medicare reassignment Care Compare group NPD
• Emerald Hills Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Hollywood, FL
  • NPI 1922107820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1790927176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 MAGNOLIA RIDGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315009",
            "telephone_number": "754-244-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 HACIENDA TER",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272237",
            "telephone_number": "754-244-2954",
            "fax_number": "954-306-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "OTONIEL",
        "credential": "AFRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "07-265",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "9489531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Giselle Jimenez Cantisano, M.D.
• Denise Alexandra Jimenez Moore, PA-C
• Katarzyna Jimenez, ARNP
• Marianne Jimenez
• Nicole Marie Jimenez, PSY.D.
• Marsella Jimeno-Peralta
• JM Hosseini DMD PLLC
• Nathan Alexander John, MD
• Jessica Johnson, LPTA
• Tyler Johnson, DC

• Registered Nurse First Assistant in Weston, FL
• Providers in Weston, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.